ACORD 139 MI (2004/07) – Michigan Automobile Insurance Placement Facility Supplement to ACORD Application.
Application for Commercial, Public Automobiles and Corporately Owned Vehicles
Use this form as a supplement when applying for insurance through the Michigan Automobile Insurance Placement Facility. This supplement must be used in conjunction with:
- ACORD 125 – Commercial Insurance Application
- ACORD 127 – Business Auto Section
- ACORD 132 – Truckers/Motor Carriers Section
- ACORD 163 – Commercial Auto Driver Information Schedule
- ACORD 129 – Vehicle Schedule
- ACORD 45 – Additional Interest
- ACORD 194 – Truckers/Motor Carrier Supplement